UnitedHealthcare Life Insurance Company - Prescription Benefits

UnitedHealthcare wants you to get the most out of your pharmacy benefit. As a UnitedHealthcare insured, you have benefit coverage for a wide variety of U.S. Food and Drug Administration (FDA)-approved prescription medications.

Drug Pricing

We want to help you manage your prescription medication costs and get the most out of your pharmacy benefit. Our programs and tools are designed to help you make informed decisions about your choice of prescription medications.

If your pharmacy benefit includes a tiered copay plan, please refer to the Prescription Drug List (PDL) to find the tier placement of your drug. Once you’ve identified the tier placement, use your documents to find the copay amount for that tier.

Prescription Drug List (PDL)

The UnitedHealthcare PDL includes brand and generic prescription medications approved by the FDA. Medications are placed on different "tiers" based on our evaluation of their overall value. Tier 1 is the lowest-cost tier option. The PDL is a tool to help you look for lower-cost alternatives. When selecting a medication, you and your doctor may wish to consult the PDL. You and your doctor make decisions about your health care, including the choice of prescription medications.

The formulary lookup tool provides the brand name, generic name, dosage form and tier status. It does not take into account any cost that your plan pays. It is not specific to your benefit and is not available for all medications. The information is for informational purposes only and is not meant to substitute for the advice provided by your own physician or other medical professional. Note: This is only a guide. Tier structure for your Rx coverage will depend on your exact plan and will be subject to all plan provisions.

Note: When a Prescription Drug Product is excluded from coverage, you and your representative may request an exception to gain access to the excluded Prescription Drug Product. To make a request, contact us in writing or call the toll-free number on your ID card, we will notify you of our determination within 72 hours.

Contact Us

Application Support:

Please call Customer Service at 1-800-657-8205.

Member Support:

Please call the Customer Service number listed on the back of your ID card (if you are currently a member).

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No individual applying for health coverage through the individual Marketplace will be discouraged from applying for benefits, turned down for coverage, or charged more premium because of health status, medical condition, mental illness claims experience, medical history, genetic information or health disability. In addition, no individual will be denied coverage based on race, color, religion, national origin, sex, sexual orientation, marital status, personal appearance, political affiliation or source of income.

References to UnitedHealthcare pertain to each individual company or other UnitedHealthcare affiliated companies.
Dental and Vision products are administrated by related companies.
Each company is a separate entity and is not responsible for another's financial or contractual obligations.
Administrative services are provided by United HealthCare Services, Inc.

Products and services offered are underwritten by Golden Rule Insurance Company, Oxford Health Insurance, Inc., UnitedHealthcare Life Insurance Company and UnitedHealthcare Insurance Company. In New Mexico, products and services offered are only underwritten by Golden Rule Insurance Company.

All products require separate applications. Separate policies or certificates are issued. Golden Rule Short Term Medical plans are medically underwritten. Related insurance products offered by either company may be medically underwritten – see the product brochures and applications. Healthiest You is not an insurance product and is provided by HY Holdings, Inc., d/b/a Healthiest You. Travel Health Insurance, Property & Casualty, Final Expense Whole Life Insurance and Pet Insurance are underwritten by different companies that are not related to the UnitedHealthcare family of companies. Product availability varies by state.